Provider Demographics
NPI:1700171923
Name:HAMID KASHANI DDS A PROFESSIONAL CORPORATION PLLC
Entity type:Organization
Organization Name:HAMID KASHANI DDS A PROFESSIONAL CORPORATION PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HAMID
Authorized Official - Middle Name:
Authorized Official - Last Name:KASHANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-234-2985
Mailing Address - Street 1:1455 E BUCKINGHAM RD
Mailing Address - Street 2:SUITE #404
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-5365
Mailing Address - Country:US
Mailing Address - Phone:972-234-2985
Mailing Address - Fax:972-231-2079
Practice Address - Street 1:1455 BUCKINGHAM RD
Practice Address - Street 2:SUITE 404
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-5361
Practice Address - Country:US
Practice Address - Phone:972-234-2985
Practice Address - Fax:972-231-2079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-15
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty